KIMBERLY MICHELLE DALLER FNP-BC
NPI 1164064440
Nurse Practitioner - Family in Fenton, MO

Q: What is Kimberly Daller's NPI number?

The NPI number for Kimberly Daller is 1164064440. It was assigned to this individual provider in the NPPES registry on October 8, 2019. The provider is also known as Kimberly Michelle Emery Fnp-Bc.

Q: What is Kimberly Daller's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Daller was last updated on June 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since October 08, 2019PECOS EnrolledAccepts Medicare Assignment

1345 SMIZER MILL RD STE 1100, FENTON, MO 63026(636) 496-5023 Get Directions Write a Review

NPPES record last updated: June 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 18, 2024, Oct 21, 2020, Oct 8, 2019 (3 updates tracked since 2019).

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About Kimberly Michelle Daller Fnp-bc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KIMBERLY MICHELLE DALLER FNP-BC (NPI 1164064440) is an individual family provider in Fenton, Missouri, licensed in Missouri (2019038326) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Chesterfield, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1164064440

Entity TypeIndividualFemale

Primary Taxonomy363LF0000X

Provider Legal NameKIMBERLY MICHELLE DALLERCredential: FNP-BC

Location Address1345 SMIZER MILL RD STE 1100Fenton, MO 63026-7305

Mailing AddressPo Box 955534Saint Louis, MO 63195-7305

Phone(636) 496-5023

Sole ProprietorNo

Medical School CMSOtherGraduated 2019

Enumeration DateOctober 8, 2019

Last NPPES UpdateJune 18, 20243 updates tracked since enumeration

NPPES CertifiedJune 18, 2024

✔ NPI 1164064440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in MO · 2019038326

1345 SMIZER MILL RD STE 1100, Fenton, MO 63026

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Other Names 1

Former Name (1)Kimberly Michelle Emery Fnp-bc

Secondary Practice Location 1

Location 11722 Clarkson RdChesterfield, MO 63017-4976 · Phone (636) 206-2665 · Fax (636) 206-2664

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kimberly Michelle Daller Fnp-bc is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1759713332

PECOS Enrollment IDI20191120001201

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

25 services25 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

21 services21 patients

Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19) 87811

This is a test to detect COVID-19, the virus causing severe respiratory illness. It uses a method called immunoassay, which identifies the virus by its unique proteins. The test is directly observed for accuracy. It helps determine if you're currently infected.

14 services14 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63026 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$98.37 typical visit price

range $17.76 – $137.92

Typical copayment $24.59 (range $4.44 – $34.48)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604

DME-Other DME · category DE001N

5 suppliers43 claims43 services$46.10 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers26 claims26 services$119.34 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers25 claims72 services$44.54 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

2 suppliers14 claims80 services$25.55 avg. paid by Medicare

Pillow for use on nasal cannula type interface, replacement only, pair A7033

DME-Other DME · category DE001N

3 suppliers12 claims71 services$18.92 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers33 claims33 services$72.35 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN J. GRAY MD

Family Medicine